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  1. Article ; Online: New technologies in the gastrointestinal clinic and research: impedance and high-resolution manometry.

    Pandolfino, John E / Kahrilas, Peter J

    World journal of gastroenterology

    2009  Volume 15, Issue 2, Page(s) 131–138

    Abstract: ... impedance, while conventional techniques, such as manometry, have enjoyed many improvements due to advances ... to the recent advances in esophageal function testing. New technologies have emerged, such as intraluminal ... in dysphagia. This review describes the potential benefits that these new technologies may have over ...

    Abstract The last five years have been an exciting time in the study of esophageal motor disorders due to the recent advances in esophageal function testing. New technologies have emerged, such as intraluminal impedance, while conventional techniques, such as manometry, have enjoyed many improvements due to advances in transducer technology, computerization and graphic data presentation. While these techniques provide more detailed information regarding esophageal function, our understanding of whether they can improve our ability to diagnose and treat patients more effectively is evolving. These techniques are also excellent research tools and they have added substantially to our understanding of esophageal motor function in dysphagia. This review describes the potential benefits that these new technologies may have over conventional techniques for the evaluation of dysphagia.
    MeSH term(s) Deglutition Disorders/diagnosis ; Deglutition Disorders/etiology ; Electric Impedance ; Esophageal Motility Disorders/diagnosis ; Esophageal Motility Disorders/etiology ; Humans ; Manometry/methods ; Manometry/trends ; Research/trends
    Language English
    Publishing date 2009-01-07
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 2185929-2
    ISSN 2219-2840 ; 1007-9327
    ISSN (online) 2219-2840
    ISSN 1007-9327
    DOI 10.3748/wjg.15.131
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Future directions in esophageal motility and function - new technology and methodology.

    Fox, M / Sweis, R

    Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society

    2012  Volume 24 Suppl 1, Page(s) 48–56

    Abstract: ... considers recent advances in technology such as high-resolution manometry (HRM) with esophageal pressure ... topography (EPT), HRM with impedance, high frequency ultrasound, and endoscopic functional luminal impedance ... symptoms and disease. As experience with these new devices increases researchers are developing new ...

    Abstract Background: Symptom based diagnosis is not reliable in patients with swallowing problems, heartburn, and other dyspeptic complaints. The aim of investigation is to provide clinically relevant measurements of gastrointestinal structure and function that explain the cause of symptoms, identify pathology, and guide effective management. Current practice rarely meets these ideals.
    Purpose: This review considers recent advances in technology such as high-resolution manometry (HRM) with esophageal pressure topography (EPT), HRM with impedance, high frequency ultrasound, and endoscopic functional luminal impedance planimetry (Endo-FLIP) that provide new opportunities to identify the pathophysiologic basis of esophageal symptoms and disease. As experience with these new devices increases researchers are developing new methodologies that maximize their utility in clinical practice. For example, application of HRM to assess motility and function during and after a test meal can identify the causes of swallowing problems, reflux and other postprandial symptoms and intra-operative application of Endo-FLIP may help surgeons perform antireflux surgery. These examples illustrate the potential of physiologic measurement to direct rational and effective clinical management for individual patients.
    MeSH term(s) Esophageal Motility Disorders/diagnosis ; Esophageal Motility Disorders/physiopathology ; Gastroenterology/methods ; Gastroenterology/trends ; Humans ; Manometry/methods
    Language English
    Publishing date 2012-03
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1186328-6
    ISSN 1365-2982 ; 1350-1925
    ISSN (online) 1365-2982
    ISSN 1350-1925
    DOI 10.1111/j.1365-2982.2011.01835.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: New technologies in the gastrointestinal clinic and research

    John E Pandolfino, Peter J Kahrilas

    World Journal of Gastroenterology, Vol 15, Iss 2, Pp 131-

    Impedance and high-resolution manometry

    2009  Volume 138

    Abstract: ... impedance, while conventional techniques, such as manometry, have enjoyed many improvements due to advances ... to the recent advances in esophageal function testing. New technologies have emerged, such as intraluminal ... in dysphagia. This review describes the potential benefits that these new technologies may have over ...

    Abstract The last five years have been an exciting time in the study of esophageal motor disorders due to the recent advances in esophageal function testing. New technologies have emerged, such as intraluminal impedance, while conventional techniques, such as manometry, have enjoyed many improvements due to advances in transducer technology, computerization and graphic data presentation. While these techniques provide more detailed information regarding esophageal function, our understanding of whether they can improve our ability to diagnose and treat patients more effectively is evolving. These techniques are also excellent research tools and they have added substantially to our understanding of esophageal motor function in dysphagia. This review describes the potential benefits that these new technologies may have over conventional techniques for the evaluation of dysphagia.
    Keywords Dysphagia ; Multichannel intraluminal Impedance ; Bolus transit ; High-resolution manometry ; Esophagogastric junction ; Achalasia ; Diseases of the digestive system. Gastroenterology ; RC799-869 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Gastroenterology ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2009-01-01T00:00:00Z
    Publisher Baishideng Publishing Group Co. Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: New technologies for the evaluation of esophageal motility disorders: impedance, high-resolution manometry, and intraluminal ultrasound.

    Hirano, Ikuo / Pandolfino, John

    Gastroenterology clinics of North America

    2007  Volume 36, Issue 3, Page(s) 531–51, viii

    Abstract: ... impedance and ultrasound, whereas conventional techniques, such as manometry, have undergone substantial ... of each of these technologies and the potential benefits they offer over conventional techniques for the evaluation ... New technologies have been introduced for studying esophageal function, including intraluminal ...

    Abstract New technologies have been introduced for studying esophageal function, including intraluminal impedance and ultrasound, whereas conventional techniques, such as manometry, have undergone substantial upgrades because of advances in transducer technology, computerization, and graphic data presentation. Although these techniques provide both novel and more detailed information regarding esophageal function, it is still unclear whether they have improved the ability to diagnose and treat patients more effectively. Regardless, they are innovative research tools and they have added substantially to the understanding of the pathophysiology of dysphagia and esophageal motor dysfunction. This article describes the technical aspects of each of these technologies and the potential benefits they offer over conventional techniques for the evaluation of esophageal motor diseases.
    MeSH term(s) Deglutition Disorders/diagnosis ; Deglutition Disorders/physiopathology ; Electric Impedance ; Endosonography/methods ; Esophagus/diagnostic imaging ; Esophagus/physiopathology ; Gastrointestinal Motility/physiology ; Humans ; Manometry/methods ; Reproducibility of Results
    Language English
    Publishing date 2007-09
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 92114-2
    ISSN 1558-1942 ; 0889-8553
    ISSN (online) 1558-1942
    ISSN 0889-8553
    DOI 10.1016/j.gtc.2007.07.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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